Top 10 Authorization specialist Jobs in Ocala, Fl

Referral Specialist
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
- Spanish
- HIPAA
- English
Patient Care Specialist
Millennium Physician Group, LLC —Ocala, FL
- $16.20 - $24.30 an hour
- Full-time
- HIPAA
- Administrative experience
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
1d
Customer Care Specialist
OCALA EYE PA —Ocala, FL
- High school diploma or GED
- Computer skills
- Communication skills
Quick Apply
Medical Billing Specialist
Live Oak Foot & Ankle —Summerfield, FL
- $18 - $20 an hour
- Full-time
- HIPAA
- In-person
- Reliable transportation
- Paid time off
- Flexible schedule
Quick Apply
11d
PATIENT ACCESS SPECIALIST
HEART OF THE VILLAGES PLC —Lady Lake, FL
- Full-time
- Bilingual
- HIPAA
- Mid-level
Quick Apply
7d
Medical Billing Specialist (Possible Contract-To-Hire)
Marion County —Ocala, FL
- $15.93 - $17.05 an hour
- Contract
- Pass drug screening
- HIPAA
- Research
Quick Apply
1d
Medical Assistant
Premier Pediatrics, PLLC —Silver Springs, FL
- Full-time
- Vital signs
- High school diploma or GED
- Clinic
- Paid holidays
- Health insurance
Quick Apply

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Patient Care Specialist
Millennium Physician Group, LLC —Ocala, FL
Answers and routes phone calls, schedules or reschedules appointments, and maintains daily appointment schedules while communicating adjustments to clinical…
$16.20 - $24.30 an hour
Quick Apply
1d
RN Specialist - ACU | Pediatric Specialties - Medical Plaza | Gainesville
UF Health —Gainesville, FL
Basic Life Support certification required or obtained within the first month of employment. BLS certification must be obtained through AHA or Red Cross.
$56,243 - $98,675 a year
14d

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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
Quick Apply
7d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

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Referral Specialist

HEART OF FLORIDA HEALTH CENTER INC -
Ocala, FL

Apply Now

Job Details

Qualifications

Electronic health records (EHR) management
High school diploma or GED
Productivity software
Document management systems
Medical terminology

Full Job Description

Job Summary

The Referral Specialist is responsible for coordinating, processing, and tracking all referrals for specialty, diagnostic, and ancillary services. This position ensures referrals are completed accurately, timely, and in compliance with payer and regulatory requirements. In addition to referral coordination, the Referral Specialist manages associated documentation, supports patient navigation, and serves as a liaison between patients, providers, and external partners.

Qualifications and Requirements

High School diploma or equivalent required; Associate degree in health services, medical office administration, or related field preferred.

Minimum two (2) years of experience in referrals, authorizations, insurance verification, or healthcare administration required.

Knowledge of medical terminology, referral workflows, and payer requirements.

Proficiency with Electronic Health Records (e.g., eClinicalWorks, Epic) and Microsoft Office Suite.

Bilingual (English/Spanish/Creole) preferred, depending on patient population served.

Essential Duties and Responsibilities

Clinical Referral Coordination

Receive, process, and document all provider-initiated referrals in the Electronic Health Record (EHR).

Collect and assemble supporting documentation (labs, imaging, progress notes) to send with referrals.

Verify insurance eligibility, secure prior authorizations/pre-certifications, and confirm medical necessity as required.

Notify providers promptly of referral denials or delays and follow escalation protocols.

Track referrals until completion, ensuring results are received and routed back to the ordering provider.

Monitor payer requirements and maintain current knowledge of referral/authorization rules.

Administrative and Document Management

Retrieve and route incoming faxes, scanned documents, and electronic records to the appropriate patient chart.

Ensure proper indexing, naming conventions, and documentation closure within the EHR.

Maintain referral logs, reports, and supporting documentation for audit readiness.

Respond to internal requests for records related to referrals and coordinate release-of-information activities in line with HIPAA and organizational policies.

Forward court-ordered requests to the designated Quality/Risk representative.

Support billing accuracy by ensuring documentation aligns with payer requirements.

Patient Navigation and Advocacy

Educate patients and families about referral requirements, appointment instructions, and expectations.

Identify and address barriers to care (transportation, financial hardship, language access, interpreter services).

Coordinate with external specialists, hospitals, and diagnostic facilities to schedule or confirm appointments.

Follow up with patients to ensure appointments are kept and results are returned.

Serve as a consistent point of contact for patients/families with questions or concerns related to referrals.

Maintain collaborative relationships with community resources and partner providers.

Compliance and Quality

Adhere to HIPAA and organizational policies related to confidentiality, release of information, and documentation.

Support HRSA, NCQA PCMH, and payer compliance requirements for referrals and continuity of care.

Participate in audits, quality improvement projects, and departmental process evaluations.

Contribute to organizational goals by tracking and reporting referral-related Key Performance Indicators (KPIs), including timeliness, completion rates, and patient satisfaction.

Other Duties

Perform additional duties as assigned by the Referral Ops Manager, Dir of Operations, or designee.

Support cross-coverage for team members during absences or peak workload periods.

Core Competencies

Attention to Detail: Accurate entry and management of referral and document data.

Communication: Professional and clear interactions with patients, providers, and external partners.

Problem-Solving: Ability to resolve barriers and adapt to complex referral or payer challenges.

Collaboration: Works effectively with clinical staff, front desk, care coordinators, and external providers.

Cultural Sensitivity: Demonstrates respect and responsiveness to diverse populations.

Confidentiality: Maintains strict adherence to HIPAA and privacy rules.

Physical Requirements

Prolonged periods of sitting, computer use, and phone work.

Occasional standing, walking, bending, and lifting up to 30 pounds.

Requires attention to detail, ability to multitask, and tolerance to stress in a fast-paced environment.

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Refine Your Search

authorization specialist jobs in ocala, fl

Referral Specialist

Patient Care Specialist

Customer Care Specialist

Medical Billing Specialist

PATIENT ACCESS SPECIALIST

Medical Billing Specialist (Possible Contract-To-Hire)

Medical Assistant

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